关键词: ICU；入职培训；临床实践带教；应届毕业生；规范化培训；横断面调查

Abstract: Objective: To investigate the current status of nurse's induction training in Intensive Care Units (ICUs) conducted in 30 tertiary hospitals. Methods: From July to August 2022, 583 ICU nurses from 57 ICUs belonging to 30 tertiary hospitals in 11 provinces across China were investigated by convenient sampling. A self-designed questionnaire established using the Delphi method was adopted for investigation. Results: Among the 57 ICUs surveyed, all the enrolled ICUs had induction training programmes for new nurses and stipulated that they could work independently after the training period. However, the training forms were diverse and the duration of the training period was not uniform, and only 32 (56.1%) required entry qualifications for new nurses. Totally 91.2% of the head nurses tended to recruit nurses who had received standardized training. The proportion of new nurses in the total number of nurses was positively correlated with the incidence of unplanned extubation (r=0.341, P<0.05). Among the 583 nurses surveyed, 364 (62.4%) believed that 3-6 months of training time was the most appropriate, and 339 (58.1%) nurses were inclined to master general nursing skills before entering ICU. Regression analysis showed that the influencing factors of ICU nurses' adaptation to work stress during induction training were the type of ICU, the form of clinical practice training, and the length of their training. Conclusion: At present, there is a lack of ICU qualification access system and no unified scheme for induction training. The training duration still needs to be further discussed, and programmatic documents are still needed to guide the implementation of induction training for ICU nurses in the future.

Key words: intensive care unit; induction training; clinical practice teaching; new graduates; standardized training; cross-sectional study